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首页> 外文期刊>The Internet Journal of Neurology >Prevalence Of Epilepsy And General Knowledge About Neurocysticercosis At Ngangelizwe Location, South Africa
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Prevalence Of Epilepsy And General Knowledge About Neurocysticercosis At Ngangelizwe Location, South Africa

机译：南非Ngangelizwe地点的癫痫患病率和关于神经囊虫病的常识

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Fifteen medical students from the University of Transkei divided into 5 groups were sent to make a community diagnosis of the Ngangelizwe community. The main goal was to evaluate the socio-economic status of the community, to identify major risk factors in the community, to find out the prevalence of epilepsy, and investigate the level of knowledge about neurocysticercosis and HIV/AIDS in the community.Setting: The Ngangelizwe community, is located at 6 km away from Mthatha (Capital of the former Transkei) being the closer to others locations investigated previously such as: Sidwadweni, Nkalukeni, Ngqwala, Kwandugwane and Makaula locationsDesign: A two-stage design study was used. The first stage involved screening of the general population on door-to-door basis by interviewing peoples living in 100 households selected by block-randomisation procedure, and using an internationally validated questionnaire for detecting epilepsy and knowledge about other associated diseases. The second stage consisted of a neurological assessment of the peoples who screened positive. The questionnaire covered four main areas: Demographics and Socio-economics; Main Risk Factors; Health Services, Traditional Medicine; and Knowledge about neurocysticercosis and epilepsy. Results: A total of 2341 adults were screened. The prevalence of active epilepsy in these adults was 13.8/1000. Only 14.7% of epileptic patients were under regular anti-epileptic treatment, 100% of the total population had not idea about NCC, and 28% did not know the cause of AIDS. Our findings revealed that Ngangeliswe village was a low socio-economic area. Level of unemployment was high, incomes were low, education level was mostly to high school, and housing was mostly of poor quality and crowded. There was a problem with the supply of water in the area. Few people actually boiled their water. There was much indoor pollution from cooking. Toilets were unhygienic and there were no flush toilets. Food storage was a risk for diseases as there was no electricity. Many people still prefer traditional healers rather than medical doctors and one of the reasons that we found surveying this community was language barrier because all doctor working at the clinic are not from the former Transkei therefore they do not speak the native language (isiXhosa) and many patients do not speak English, although good support for translation is getting from the native nurses the necessary privacy for affording some health problems like epilepsy is absent. Conclusions: The prevalence of epilepsy is high compared with a similar location but a poor utilization of anti-epileptic treatment is cause for concern. Poor communication and the stigma of epilepsy make it a more difficult problem to treat. NCC and HIV/AIDS awareness campaign at the rural locations in the former Transkei should be made as soon as possible while permanent solutions are implemented. Introduction Neurocisticercosis (NCC) is an infection of central nervous system (CNS) caused by the larval stage (Cysticercus cellulosae) of the pig tapeworm Taenia solium. This is the most common helminthes to produce CNS infection in human being. The occurrence of acquired epilepsy or the syndrome of raised intracranial pressure in a person living in or visiting a region where taeniasis is endemic or even in one living in close contact with people who have taeniasis should suggest a diagnosis of cysticercosis; patients with NCC may remain asymptomatic for months to years, and commonly a diagnosis is made incidentally when neuroimaging is performed, many symptomatic forms can predominate. Symptoms and signs are related both to the parasite, which can show a different biological behavior from one place to another, and different inflammatory-inmunological responses on different hosts. NCC is the most common cause of acquired epilepsy worldwide and most of the patients taking phenytoin or carbamazepine for a proper control of their seizures, respond very we
机译：来自Transkei大学的15名医学生被分为5组，对Ngangelizwe社区进行了社区诊断。主要目标是评估社区的社会经济状况，确定社区中的主要危险因素，找出癫痫的患病率，并调查社区中关于神经囊虫病和HIV / AIDS的知识水平。 Ngangelizwe社区距离Mthatha（前Transkei的首都）6公里，与之前调查过的其他地点更近，例如：Sidwadweni，Nkalukeni，Ngqwala，Kwandugwane和Makaula地点设计：使用了两阶段设计研究。第一阶段包括通过访谈按区块随机化方法选择的100户家庭中的居民，并使用国际认可的问卷调查癫痫和其他相关疾病的知识，逐户筛查普通人群。第二阶段包括对筛查阳性人群的神经学评估。问卷涵盖了四个主要领域：人口统计学和社会经济学;主要危险因素;卫生服务，传统医学;和关于神经囊虫病和癫痫病的知识。结果：总共筛选了2341名成年人。这些成年人中活动性癫痫的患病率为13.8 / 1000。只有14.7％的癫痫患者接受常规抗癫痫治疗，总人口的100％不了解NCC，28％的人不知道艾滋病的病因。我们的发现表明，Ngangeliswe村是一个低社会经济区。失业率高，收入低，教育程度主要是高中，住房质量差，人多。该地区的供水存在问题。实际上很少有人烧开水。烹饪产生了许多室内污染。厕所不卫生，没有冲水马桶。由于没有电，食物储存有患病的风险。许多人仍然偏爱传统治疗师而不是医生，我们发现对这个社区进行调查的原因之一是语言障碍，因为在诊所工作的所有医生都不来自前Transkei，因此他们不会讲母语（isiXhosa），还有许多病人不会说英语，尽管从本地护士那里获得了翻译的良好支持，但缺少一些诸如癫痫病这样的健康问题所必需的隐私。结论：与相似的位置相比，癫痫的患病率很高，但是抗癫痫治疗的不良利用引起了人们的关注。沟通不畅和癫痫病的耻辱使之成为更难治疗的问题。在实施永久解决方案的同时，应尽快在前特兰斯凯农村地区开展NCC和HIV / AIDS宣传运动。简介神经Neuro病（NCC）是由猪tape虫worm虫en虫的幼虫期（Cysticercus cellulosae）引起的中枢神经系统（CNS）感染。这是在人类中引起CNS感染的最常见的蠕虫。在居住或探访虫病流行地区或与or虫病患者密切接触的人中发生后天性癫痫或颅内压升高综合征，应建议诊断为囊虫病;患有NCC的患者可能无症状持续数月至数年，通常在进行神经影像检查时偶然做出诊断，多数症状形式可能占主导。症状和体征均与寄生虫有关，寄生虫在一个地方到另一个地方表现出不同的生物学行为，并且在不同的宿主上表现出不同的炎症-免疫反应。 NCC是世界范围内获得性癫痫的最常见原因，大多数服用苯妥英钠或卡马西平以适当控制癫痫发作的患者，

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